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Optum is hiring a Home Infusion Nurse in Knoxville, TN. The role supports infusion therapy in home and ambulatory settings, with practical responsibilities including patient education, IV access, medication administration, and coordination with a...

Staff Education RNCollaborates with Education Consultants, Managers, CNS staff and Physicians to develop, design, deliver and evaluate/improve education strategies and special projects/programs based on clients departmental goals and needs, as...

Cedars-Sinai in Los Angeles is seeking a Virtual Care Nurse Per Diem to join a remote patient care team. You will coordinate triage, care planning, and education across disciplines to ensure safe, timely, and quality care. Required: RN with...

Sentara Health Plans is hiring a Clinical Claims Reviewer RN for a remote role. The position is full-time, 40 hours, with standard hours 8am–5pm EST, Monday to Friday. Remote opportunities are available across many states, including New...

UnitedHealthcare is seeking a Level2 Registered Nurse to deliver comprehensive diabetes self-management education and coordinate care for adults with type 2 diabetes. The role emphasizes patient education, telehealth visits, and collaboration...

Registered Nurse (RN) Urgent Care, Part-Time, 10 Hour, 9:30am-8:30pm Nursing 2200 West 3rd Street #120, Los Angeles, California, United States The Registered Nurse provides expert professional nursing care; assesses, plans,...

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. This is a hybrid remote position with occasional float in-person at our Mount Auburn Primary Care offices in...

U.S. Army Family Nurse Practitioners perform the highest level of quality care for Army Soldiers, retirees, and their families. If you are looking to combine your skills as a family nurse practitioner and your passion for patient care with the desire...

Humana's Utilization Management Registered Nurse uses clinical nursing skills to interpret and support coordination, documentation and communication of medical services and benefit determinations for post-acute care (SNF, Home Health, DME). You...

Medix is seeking a bilingual LPN or LVN to join its remote clinical team as a Clinical Interviewer. This 100% remote role involves telephone-based medication outreach, information gathering, and escalation within established protocols. You...

Geriatric Psych Nurse Work Location: Los Angeles, CA, USA Work Schedule 12hr days or day ight rotating shifts including weekends and holidays Posted Date 10/20/2026 Salary Range: $65.76 - $97.76 Hourly Employment Type 2 -...

JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and...

Providing timely and evidence-based utilization review services, the full-time Utilization Review RN will work remotely to manage complex medical conditions, treatment planning, and recovery for injured employees while advocating for effective...

About This Role The Utilization Management Nurse Consultant utilizes clinical experience to assess, plan, implement, coordinate, monitor, and evaluate healthcare services for members. This role is ideal for those looking to contribute to...

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together.

Job Description Grow your career at Cedars-Sinai! #1 in California and tenth consecutive year in a row on the "Best Hospitals" Honor Roll by U.S. News & World...

Job Summary: Under the direct supervision of a Registered Nurse or physician provides nursing care in accordance with the legal scope of practice and within established standards of care, policies and procedures. Demonstrates...

Sentara Health is seeking a Registered Nurse for the Physician Practice in a remote weekend day shift role (Sat, Sun, Mon 7am-7:30pm). The RN will provide care in a physician practice or ambulatory clinic, perform triage, assist with exams,...

UnitedHealth Group is seeking an HSS Clinical Coordinator RN to conduct clinical reviews and evaluations related to Medicaid appeals, ensuring compliance and accuracy in assessments. This remote role is ideal for experienced RNs seeking meaningful...

Facilitates the provision of timely and effective patient care under the supervision of licensed members of the healthcare team. Helps maintain a safe and clean environment in order to enhance department operations. Patient care is delivered...

Humana Inc. seeks a Telephonic Nurse Care Manager to support patients transitioning between services. This full-time, remote role involves determining level of care, guiding patients through home health, hospice and palliative options, and...

Molina Healthcare is seeking a Wisconsin-licensed RN for a remote IRIS Self-Directed Personal Care (SDPC) role. You will oversee a group of IRIS participants, assess needs, and educate providers and participants in their homes and communities.

Seeking an experienced Registered Nurse Medical Reviewer, the full-time remote position will manage the medical review of complex claims, pre-authorization requests, appeals, and fraud referrals, applying clinical expertise to determine medical...

CVS Health is seeking a QM Nurse Consultant to apply specialized clinical knowledge and drive quality improvement across patient care. The role emphasizes data analysis, regulatory compliance, and developing quality assurance programs, with a...

UnitedHealthcare is hiring a field-based health services professional to assess and plan person-centered care, connecting members with vital resources and coordinating across providers. This role requires a Texas RN license, 2+ years in community...